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General NPI Number Information
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NPI Number | 1962008540
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Entity Type | Individual
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Provider Name | RASHANDA BRAY LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1717 N ST NW STE 1
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City | WASHINGTON
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State | DC
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Zip | 20036-2827
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Country | US
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Telephone | 202-949-6649
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Fax |
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Provider Business Mailing Address
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Address Line | 798 COUNTY ROAD 1500
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City | NEWTON
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State | TX
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Zip | 75966-5202
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Country | US
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Telephone | 585-360-8901
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200003922
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License Number State | DC
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